Organization
BIDERMAN DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA BIDERMAN (PRESIDENT)
(718) 843-9209
Entity
Organization
Contact information
Practice address
90-19 157 AVE., HOWARD BEACH, NY 11414
(718) 843-9209
(718) 843-4140
Mailing address
9019 157TH AVE, HOWARD BEACH, NY 11414-2739
(718) 843-9209
(718) 843-4140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
034379
NY
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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